Open AccessSingle-incision laparoscopic cecectomy for low-grade appendiceal mucinous neoplasm after laparoscopic rectectomy
Author(s) -
Shiki Fujino,
Norikatsu Miyoshi,
Shingo Noura,
Tatsushi Shingai,
Yoshihiro Tomita,
Masayuki Ohue,
Masahiko Yano
Publication year - 2014
Publication title -
world journal of gastrointestinal surgery
Language(s) - Uncategorized
Resource type - Journals
ISSN - 1948-9366
DOI - 10.4240/wjgs.v6.i5.84
Subject(s) - medicine , dissection (medical) , laparoscopic surgery , surgery , appendix , lymph node , malignancy , laparoscopy , general surgery , pseudomyxoma peritonei , colorectal cancer , cancer , paleontology , biology
In this case report, we discuss single-incision laparoscopic cecectomy for low-grade appendiceal neoplasm after laparoscopic anterior resection for rectal cancer. The optimal surgical therapy for low-grade appendiceal neoplasm is controversial; currently, the options include appendectomy, cecectomy, right hemicolectomy, and open or laparoscopic surgery. Due to the risk of pseudomyxoma peritonei, complete resection without rupture is necessary. We have encountered 5 cases of low-grade appendiceal neoplasm and all 5 patients had no lymph node metastasis. We chose the appendectomy or cecectomy without lymph node dissection if preoperative imaging studies did not suspect malignancy. In the present case, we performed cecectomy without lymph node dissection by single-incision laparoscopic surgery (SILS), which is reported to be a reduced port surgery associated with decreased invasiveness and patient stress compared with conventional laparoscopic surgery. We are confident that SILS is a feasible alternative to traditional surgical procedures for borderline tumors, such as low-grade appendiceal neoplasms.